An employed person, or any employer or his representative, or any person permitted under sub-section (2) of Section 15 to apply for a direction, shall be entitled to inspect any application, memorandum of appeal or any other document filed with the Authority or the Court, as the case may be, in a case to which he is a party, and may obtain copies thereof on payment of such fees as may be prescribed.
Form A
Form of Individual Application
[See sub-section (2) of Section 1 of the Payment of Wages Act]
In the Court of the Authority appointed under the Payment of Wages Act (IV of 1936) for ..area.
Application No of 20 .
Between Applicant.
a legal practitioner
(Through which is a registered trade union) ..
an official of
And Opposite party.
The applicant states as follows:
1.is a person employed in the
factory
entitled and resides at
Industrial Establishment
The address of the applicant for the service of all notices and processes is
2. the opposite-party, is the person responsible for the payment of his wages under Section 3 of the Act, and his address for the service of all notices and processes is
3. (1) The applicant's wages have not been paid for the following wage-period(s) (give dates) .or a sum of Rs .have been unlawfully deducted from his wages of (amount) for wage-period(s) which ended on .[give date(s)]
(2)(Here give any further claim or explanation) ..
4. The applicant estimates the value of the relief sought by him at the sum of Rupees
5. The applicant prays that a direction may be issued under sub-section (3) Section 15 for
(a) Payment of his delayed wages as estimated or such greater or lesser amount as the Authority may find to be due,
or
refund of the amount illegally deducted.
(b) Compensation amounting to
The applicant certifies that the statement of facts contained in this application is to the best of his knowledge and belief accurate.
| |
Signature or thumb impression of the employed person, or legal practitioner, or official of a registered trade union duly authorised |
Form B
Form of Group Application
[See sub-section (2) of Section 15 and Section 16 of the Payment of Wages Act]
In the Court of the Authority appointed under the Payment of Wages Act (IV of 1936) for area.
Application No of 20.
Between and others (state the number)
Applicant.
a legal practitioner
(Through which is a registered trade union).
an official of
AndOpposite party.
The applicants state as follows:
in
1. The applicants whose names appear in the attached Schedule are persons employed the
on
factory
entitled.
Industrial Establishment.
The address of the applicants for service of all notices and processes is
2. the opposite party, is the person responsible for the payment of wages under Section 3 of the Act, and his address for the service of all notices and processes is ..
3. The applicants' wages have not been paid for the following wage-period(s);
4. The applicants estimate the value of the relief sought by them at the sum of Rupees
5. The applicants pray that a direction may be issued under sub-section (3) of Section 15 for
(a) payment of the applicants' delayed wages as estimated or such greater or lesser amount as the Authority may find to be due,
(b) Compensation amounting to
The applicants certify that the statement of facts contained in this application is to the best of their knowledge and belief accurate.
Signature or thumb-impression of two of the
applicants, or legal practitioner, or an official
of a registered Trade Union duly authorised.
SCHEDULE
Names of applicants
Form C
Form of Application by an Inspector or person permitted by the Authority or Authorised to act
[See sub-section (2) of Section 15 and Section 16 of the Payment of Wages Act]
In the Court of Authority appointed under the Payment of Wages Act, (IV of 1936) for area.
Application No of 20 .
Between (designation)
an Inspector under the Payment of Wages Act or a person permitted by the Authority
authorised
to act under sub-section (2) of Section 15 Applicant
And the opposite party.
The applicant states as follows:
1. the opposite party is the person responsible under the Act for the payment of wages to the no. of person(s).
2. His address for the services of all notices and processes is
3. The wages of the said person(s) due in respect of the following wage
have not been paid
period(s) have been subjected to the following illegal deduction.
4. The applicant estimates the value of the relief sought for the person(s) employed at the sum of Rs
5. The applicant prays that a direction may be issued under sub-section (3) of Section 15 for
(a) payment of the delayed wages as estimated or such greater or lesser amount as the Authority may find to be due/or refund of the amount illegally deducted,
(b) compensation amounting to.
The applicant certifies that the statement of facts contained in this application is to the best of his knowledge and belief accurate.
Signature.
Form D
Certificate of Authorization
I/We employed person(s) hereby authorize a legal practitioner/an official of ..which is a registered Trade Union to act on my/our behalf under Section 15 and Section 17 of the Payment of Wages Act (IV of 1936), in respect of the claim against .
delay in payment of
on account of the my/our wages for
illegal deductions from
| Witnesses |
Signature |
| (1) (2) (3) (4) (5) |
(1) (2) (3) (4) (5) |
I accept the authorisation.
Signature
Legal Practitioner
Official of a registered
Trade Union.
Form E
Notice for the Disposal of Application
To
Whereas under the Payment of Wages Act, 1936 (IV of 1936), a claim against you has been presented to me in the application of which a copy is enclosed, you are hereby called upon to appear before me either in person or by any person duly instructed, and able to answer all material questions relating to the application, or who shall be accompanied by some person able to answer all such questions, on the ..day of .20 at ..o'clock in the fore/after noon to answer the claim, and as the day fixed for your appearance is appointed for the final disposal of the application you must be prepared to produce on that day all the witnesses upon whose evidence, and the document upon which you intend to rely in support of your defence.
Take notice that in default of your appearance on the day before-mentioned, the application will be heard and determined in your absence.
Given under my hand and seal, this day of 20 .
Authority.
SEAL
Form F
Record of Order or Direction
(1) Serial number
(2) Date of the application
(3) Name or names, parentage, address or addresses of the applicants or some, or all of the applicants belonging to the same unpaid group
(4) Name and address of the employer
(5) Amount claimed
(a) As delayed wages Rs.
(b) As deducted from wages Rs.
(6) Place of the employer and his examination (if any)
(7) Finding, and a brief statement of the reasons therefor
(8) Amounts awarded
(a) Delayed wages Rs.
(b) Deducted wages Rs.
(9) Compensation awarded Rs.
(10) Penalty imposed Rs.
(11) Costs awarded to
(i) Court fee charges
(ii) Pleader's fee
(iii) Witnesses' expenses
Signed
Dated
Note. In cases where an appeal lies attach on a separate sheet the substance of the evidence.
Form G
Notice to Respondent of the Day Fixed for the Hearing of the Appeal under Section 17 of Payment of Wages Act, 1936
Appeal from the decision of the Authority for the area, dated the day of 20 .
To Respondent.
Take notice that an appeal of which a copy is enclosed, from the decision of the Authority for .area has been presented by (and others) and registered in this Court and that the day of 20, has been fixed by this Court for the hearing of this appeal.
If no appearance is made on your behalf by yourself, or by some one by law authorised to act for you in this appeal, it will be heard and decided in your absence.
Given under my hand and the seal of the Court, this ..day of 20 .
Seal of the Court Judge.